Gates Deanna H, Walters Lisa Smurr, Cowley Jeffrey, Wilken Jason M, Resnik Linda
Deanna H. Gates, PhD, is Assistant Professor, School of Kinesiology, University of Michigan, Ann Arbor;
Lisa Smurr Walters, OTR, CHT, is Occupational Therapist, Center for the Intrepid, Department of Orthopaedics and Rehabilitation, San Antonio Military Medical Center, Ft. Sam Houston, TX.
Am J Occup Ther. 2016 Jan-Feb;70(1):7001350010p1-7001350010p10. doi: 10.5014/ajot.2016.015487.
We quantified the range of motion (ROM) required for eight upper-extremity activities of daily living (ADLs) in healthy participants.
Fifteen right-handed participants completed several bimanual and unilateral basic ADLs while joint kinematics were monitored using a motion capture system. Peak motions of the pelvis, trunk, shoulder, elbow, and wrist were quantified for each task.
To complete all activities tested, participants needed a minimum ROM of -65°/0°/105° for humeral plane angle (horizontal abduction-adduction), 0°-108° for humeral elevation, -55°/0°/79° for humeral rotation, 0°-121° for elbow flexion, -53°/0°/13° for forearm rotation, -40°/0°/38° for wrist flexion-extension, and -28°/0°/38° for wrist ulnar-radial deviation. Peak trunk ROM was 23° lean, 32° axial rotation, and 59° flexion-extension.
Full upper-limb kinematics were calculated for several ADLs. This methodology can be used in future studies as a basis for developing normative databases of upper-extremity motions and evaluating pathology in populations.
我们对健康受试者进行八项上肢日常生活活动(ADL)所需的活动范围(ROM)进行了量化。
15名右利手受试者完成了多项双手和单手基本ADL,同时使用运动捕捉系统监测关节运动学。对每个任务的骨盆、躯干、肩部、肘部和腕部的峰值运动进行了量化。
为完成所有测试活动,受试者肱骨平面角度(水平外展-内收)的最小ROM为-65°/0°/105°,肱骨抬高为0°-108°,肱骨旋转为-55°/0°/79°,肘部屈曲为0°-121°,前臂旋转为-53°/0°/13°,腕部屈伸为-40°/0°/38°,腕部尺桡偏斜为-28°/0°/38°。躯干ROM峰值为倾斜23°、轴向旋转32°和屈伸5°。
计算了多项ADL的全上肢运动学。该方法可用于未来研究,作为建立上肢运动规范数据库和评估人群病理情况的基础。